San Juan Basin Health Department

NPI #1730101726 in Durango, Colorado

Provider Information

NPI Number: 1730101726
Entity Type: Organization
Organization Name: San Juan Basin Health Department
Subpart: Yes (part of a larger organization)
Parent Organization: SAN JUAN BASIN HEALTH DEPARTMENT
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jul 25, 2006
Last Updated: Sep 22, 2014

Practice Location

Address: 701 CAMINO DEL RIO
Address 2: SOUTHWEST SMILE MAKERS
City: Durango
State: Colorado
ZIP Code: 81301
Phone: (970) 385-4480

Authorized Official

Name: MS. LIANE JOLLON, RN
Title: EXECUTIVE DIRECTOR
Phone: (970) 247-5702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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